A nurse is caring for a client who was recently diagnosed with Hyperemesis Gravidarum.
Which of the following medications should the nurse anticipate administering?

Choice A rationale

Placenta previa is characterized by painless, bright red vaginal bleeding in the third trimester, not by low hemoglobin and platelet levels.

Choice B rationale

Abruptio placentae involves painful vaginal bleeding, uterine tenderness, and contractions, and is not primarily associated with low hemoglobin and platelet counts.

Choice C rationale

Gestational hypertension is identified by high blood pressure without proteinuria or severe systemic symptoms, and typically doesn't lead to low platelet counts or hemoglobin levels.

Choice D rationale

Preeclampsia includes hypertension, proteinuria, and systemic symptoms like low platelet count and hemoglobin level, indicating a more severe form such as HELLP syndrome.

Based on the assessment findings, the nurse determines that the findings are consistent with abruptio placentae (placental abruption)1.

Here's a breakdown of the findings:

• Abdominal assessment: Rigid and tender abdomen21.
• Abdominal pain level: The client reports abdominal pain21.
• Uterine tone: No evidence of uterine contractions21.
• Description of bleeding: Dark red vaginal bleeding21.

Placental abruption is characterized by the placenta partially or completely separating from the uterine wall before delivery, which can cause painful bleeding and a rigid, tender abdomen21

Here's a table with the assessment findings, indicating which findings are consistent with placenta previa and abruptio placentae: